MMFS Employee Benefits Guide 2022

DENTAL BENEFITS

MMFS gives employees the choice between a Dental PPO and DHMO plan for their dental care. Read the chart below carefully before choosing the plan that best fits you and your dependents’ needs.

Option 1: With your DHMO plan, you enjoy negotiated discounts from our network dentists. You pay a fixed copay for each covered service. Out-of-network visits are not covered.

Option 2: With your PPO plan, you can visit any dentist; but you pay less out-of-pocket when you choose a PPO dentist.

PPO PLAN

DHMO PLAN

BENEFIT

IN-NETWORK

OUT-OF-NETWORK

IN-NETWORK

Individual:

$50

Individual:

$50

Individual:

$0 $0

Annual Deductible

Family:

$150

Family:

$150

Family:

$1,000

$1,000

Unlimited

Calendar Year Maximum

Preventive Care Oral Exam Exams Cleaning (1x every 6 months) Fluoride Treatment Sealants

100%

100%

Various copays apply

Basic Services Anesthesia/Fillings Repair & Maintenance of Bridgework Major Services Extractions & Other Oral Surgery Endodontic/ Root Canal Periodontics Gold/Porcelain Crowns Installation of Bridgework & Dentures

90% after deductible

80% after deductible

Various copays apply

60% after deductible

50% after deductible

Various copays apply

HOW TO FIND A DENTAL PROVIDER STEP 1: Visit www.GuardianAnytime.com STEP 2: Click on Find a Provider under My Account/Login STEP 3: Select PPO or DHMO under plan type STEP 4: Click Search by Location, Dentist Last Name or Office Name

You can find the current DHMO Fee Schedule here .

QUESTIONS? Call BenefitsVIP at 866.286.5354